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Home My WebLink AboutPermit Signage 2009-7-16 ."1 \ ZZ5 FIlTH STREET. SPRINGFIELD, OR 97477 . PH:(541)7Z6-3753 . FAX: (541)726-3689 I .}~ CitYJObNUmber~q-q~ , E! Job Location //71/ 2JJ-t;~~4! Lo... ),tJ ~ Assessors Man \ 1")0::; 21- '1.1..J ~ I; \. Owner of Property . r,-~ Add ~) ress .. .,.....1, Cit:' .,--.Ij i ~i Address ~) . ~ Cit:' ~ l:::::Coo7-"L~ Anlkv.J ?~).,;"~! J'i IItrj r-i DateofInstallation 71/;'lm Date of Removal . ;~/&5lu? '(Q; ~ 1-'1:1 (Q; :; l: $202.00 including $100.00 Deposit and applicable feel. ~. ~ '4.~ By signature, I state and agree that j have carefully completed this application and 6,ereby certity that all ~l information herein is true and correct. I further agree and understand that the above described display will be ,_ removedd w~thhin fihou~eertl~ 14) daysfjfrdomj th.ell~atrfie l~stehd a$s]tohoeodoatde of instajllaltion abctovf' jdfthhe dihsplay isnol t rttil..l remove Wit m t e tIme me specI Ie, WI 10 elt t e . eposlt. a so un' erStan t at t IS specla ~ permit can be issued only once per calendar year per development area. I also agree tg call the inspection line at ~~ 726-3769 by the end of the ] 4th day to request an inspection to verity the removal of the display. This inspection ~: will begin the process to return the $]00.00 deposit if the display has been remo,:"ed. ~ I S;"'"~ ~<;#A &A ";1#' ~ . :: ~/. , For.Office Use. I: .......... . DateofAPPlic~'on"" \\0 .OQl 'Job#~ q..q 5~:oNR~J~~~1~~;I'- :,'~~~~~~ f'!~(1" .' ,', ,,\io~ Ccn~ 1A~s( ,,' are set forln a Issued By' . <\mount CoiIecie(j~(i~ -Tu')'r,\r"-d' ~AR 952.001-' '-j NUII!.;\:" ORK G~:J. YUIII'F;y~plainGOpleS01merUle"uy o. .:;, THIS PERMIT ~H~[\~L E~~q"iEIFRMTH\TEI~ NOT cal~in~f the C&l11er. (Note: the telephone ~; AUTHORIZE~'1 R, v,W number for tile Oregon Utility Notification f;'ff\' COMMENCE~R Iv "BANDONED FOR Center \~ 1-BOO-332-2344). ~l ANY 180 DAY PERIOD. i . Tax Lot cl2.4 \0 ,:5/k;/4 __YfLJAy-h J M Jf,wr 9.LU:~- ~ I f) ,- Contractor/Installp' ~'? . (//2- Phone if. I: I I! r If '712 0- to;;);;). I I . ZiPii--12.<JJ ;;;2... I' I~ Statp ~ Phonp I; I, .' '>tate Zip ,'I 1; I> Shared Drive(T:)!Building Fornismlimp Pennants Balloons 7-08.doc , Ii - - \ !( ". CITY OF I!lrKll'l\JFIELD , " Building/~ombination Permit Status Issued . , PERMIT NO:: COM2009-00956 ISSUED: ; 07/16/2009 , APPLIED: .' 06/29/2009 EXPIRES: ,07/29/2009 VALUE: .. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1174 Gateway Lp ASSESSOR'S PARCEL NO.: 1703222002410 II Springfield TYPE OF WORK: Blimp, Portable Sign, Etc. Ii I: TYPE OF USE: New Commercial " Blimp - instal1063009 removal date 071309 extended through 7/29/09 11 PROJECT DESCRIPTION: Owner: Address: SHEILA S LLC 3194GATEWAYLP SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION I Contractor Tyoe Sign Contractor OWNER License Exoir~tion Date Phone 1 I: Ii BUILDING INFORMATION' # of Units: Primary Occupancy Group: Secondary Occupancy Gronp: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: . Height of Strncture Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft GaragelCarport Sq ~t Other: Occupant Load: Ii nla I DEVELOPMENT INFORMATION' Frontyard Setback: Side I Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: REQUIRED PARKING Total: Handicapped: Compact: I PUBLIC IMPROVEMENTS I Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Ii DownspoutslDrains: Notes: I Valuation Description I Description Tvpe of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount .' Value Date Calculated Pa!!e 1 of2 _~~!!!~':'lliI-"~J "'~P.,.. i; ( Ii 'I 1\ Status Issued CITY OF SPRINGFIELD II Building/C?mbination Permit PERMIT NO: COM2009-00956 ISSUED: Q;7I1612009 APPLIED: 06/29/2009 EXPIRES: 07/29/2009 VALUE: !, Ii ,'. 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Total Value of Project Fees Pa,Id . $18.00 $4.00 $80.00 $100.00 6/29/09 6/29/09 6/29/09 6/29/09 I: Receipt Number II 2200900000000000728 2200900000000000728 2200900000000000728 " 2200900000000000728 " Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Blimp + Special Permit Deposit Amount Paid Date Paid. Total Amounl Paid $202.00 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspections ~,equested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. . . I; " Reouired Insnections , Banner Removal: To be requested the day following the expiration of the permit. If inspe~tion is not requested, the applicant may forfiet the deposit. Ii By signature, I state ao.dagree, that I have carefully examined the completed application and do ~~erebY certify that all information hereon is true and correct, and !.further certify that any and all work pel'formed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the w?rk described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Serv,\ces Division, Building Safety. 1 further certify Ihat only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I furlher agree to ensure that all required inspections are requested at the proper lime, that each #ddress is readable from the, street, thai the permit card is located at the front of the property, and the approved set of plans will remain on the site at all ";'"""':"/ ~ .'lilla :0/ """ '."'~" Do<.. ~;f Pa2e 2 of 2 I II I Ii .1' ii !i CITY OJ< 1'l1'KlNGFIELD . f i, Building/~ombination Permit j Status Issued PERMIT NO:': COM2009-00956 ISSUED: 07/16/2009 APPLIED: 1: 06/29/2009 EXPIRES: ,', 07/29/2009 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541~726-3769 Inspection Line Total Value of Project l.,.;,F,,~. P1W $18.00 $4.00 $80.00 $100.00 $4.00 $80.00 6/29/09 6/29/09 6/29/09 6/29/09 7/16/09 7/16/09 " Re~eipt Number I.' . , 2200900000000000728 2200900000000000728 2200900000000000728 2700900000000000728 1200900000000000811 1200900000000000811 !' Fee Description ***+ 100/0 Administrative Fee*** .+ 5% Technology Fee Blimp + Special Permit Deposit + 5% Technology Fee Blimp + Special Permit Amoun! Paid Date Paid Total Amount Paid $286.00 I Plan Reviews I I I To Request an inspection call the 24 hour recording at 726-3769. All inspection$ requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be, made the following I' work day.. i: IR~I'~ Banner Removal: To be requested the day following the expiration of the permit. the applicant may fortiet the deposit. If insJection is not requested, l' I' By signature, I slate and agree, that 1 have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with t . . the Ordinances of the City of Springfield and the Laws of the Slate of Oregon pertaining to the ,work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Se'rvices Division, Building Safety. 1 further certify that only contractors and employees who are in compliance with ORS 701.005 ~i11 be used on this project. . I further agree to ensure that all required inspections are requested at tbe proper time, tbat each address is readable from the , street, that the permit card is located at the front of the property, and lhe approved set ofplanslwill remain on the site at all times during construction. Owner. or Contractors Signature . Date Pal!e 2 of2 I,. Ii 225 Fifth Street Springfieid, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009~00956 COM2009-00956 Payments: Type of Payment CreditCard cReceintl RECEIPT#: Description Blimp + Special Penn it + 5% Technology Fee Paid By MICHAEL SCHWARTZ 1200900000000000811 Received By Check Number Batch Number llh Page I of I I City of Springfield Official Receipt Developme1nt SeITices Department Public Works Department I . I. Date: 07/16/2009 " 1 :07:44PM Item Total: Authorization Number Amount Due 80.00 4.00 $84.00 I' How:'Received " Amount Paid 09657Z In Person PaymJnt Total: I, $84.00 $84.00 Ii h ( , I: I II I Ii Ii 'I II Ii I' 711612009